WARNING

Estrogen and bazedoxifene is a medication combination used to treat symptoms of menopause, such as hot flashes and vaginal dryness, and to prevent osteoporosis in postmenopausal women. However, like any medication, it carries potential risks. Some of the risks associated with taking estrogen and bazedoxifene include:

• Increased risk of blood clots: Estrogen can increase the risk of blood clots, especially in women who are already at risk due to factors like obesity, smoking, or a history of blood clots.
• Increased risk of stroke: Estrogen may also slightly increase the risk of stroke, particularly in older women.
• Increased risk of breast cancer: Estrogen therapy has been associated with a slightly increased risk of breast cancer, especially with long-term use.
• Endometrial cancer risk: Estrogen therapy without a progestin (a synthetic form of progesterone) can increase the risk of endometrial cancer in women who still have a uterus. Bazedoxifene is added to estrogen to reduce this risk.
• Other potential side effects: Other potential side effects of estrogen and bazedoxifene may include headache, nausea, breast tenderness, vaginal bleeding, and mood changes.

It’s important for women considering estrogen and bazedoxifene therapy to discuss the potential risks and benefits with their healthcare provider, especially if they have a history of certain medical conditions or risk factors. Additionally, regular check-ups and monitoring while taking the medication can help mitigate some of these risks.

Why is this medication prescribed?

Estrogen and bazedoxifene is prescribed for several reasons:

• Treatment of moderate to severe hot flashes associated with menopause.
• Prevention of osteoporosis in postmenopausal women at risk of fractures.
• Prevention of estrogen deficiency symptoms, such as vaginal dryness and itching, in postmenopausal women.

The combination of estrogen and bazedoxifene is used specifically in postmenopausal women who have not undergone hysterectomy (removal of the uterus). Bazedoxifene is added to estrogen therapy to reduce the risk of endometrial hyperplasia (excessive growth of the uterine lining) and endometrial cancer, which can occur with estrogen therapy alone.

How should this medicine be used?

Estrogen and bazedoxifene tablets are typically taken once daily by mouth. The dosage prescribed by a healthcare provider will depend on various factors, including the specific condition being treated and the individual’s medical history. It’s important to follow the dosage instructions provided by the healthcare provider and to take the medication as directed.

Women taking estrogen and bazedoxifene should also be advised to undergo regular medical check-ups and screenings as recommended by their healthcare provider. This helps monitor for any potential side effects or changes in health status.

It’s crucial for individuals to discuss their medical history, including any existing health conditions or medications they are taking, with their healthcare provider before starting estrogen and bazedoxifene therapy. This ensures the treatment is safe and appropriate for them. Additionally, individuals should promptly report any unusual or concerning symptoms experienced while taking the medication to their healthcare provider.

Other uses for this medicine

Some potential off-label uses may include:

• Management of certain gynecological conditions, such as ovarian insufficiency or vulvovaginal atrophy.
• Treatment of hormone-sensitive cancers, under specific circumstances and in combination with other therapies.
• Off-label use for certain neuroprotective effects or in the management of cognitive decline associated with aging, although evidence for these uses is still being studied.

What special precautions should I follow?

As for special precautions to follow when taking estrogen and bazedoxifene, it’s essential to consider the following:

• Discuss medical history: Before starting treatment, inform your healthcare provider about any medical conditions you have, including allergies, a history of blood clots, liver disease, or cancer. Also, disclose any medications, supplements, or herbal remedies you are currently taking, as they may interact with estrogen and bazedoxifene.
• Regular check-ups: While taking estrogen and bazedoxifene, your healthcare provider may recommend regular check-ups to monitor your response to treatment, assess for any potential side effects, and adjust your dosage if necessary.
• Avoid smoking: Smoking can increase the risk of serious side effects associated with estrogen therapy, such as blood clots and stroke. If you smoke, quitting is strongly recommended.
• Be cautious with other medications: Certain medications, such as blood thinners and medications that affect liver enzymes, may interact with estrogen and bazedoxifene. Always consult with your healthcare provider before starting any new medications while taking estrogen and bazedoxifene.
• Report any unusual symptoms: Be vigilant for any unusual symptoms or side effects while taking estrogen and bazedoxifene, such as sudden chest pain, shortness of breath, severe headache, or vision changes. If you experience any of these symptoms, seek medical attention immediately.

By following these precautions and guidelines, you can help ensure the safe and effective use of estrogen and bazedoxifene as prescribed by your healthcare provider.

What special dietary instructions should I follow?

As for special dietary instructions, there are no specific dietary restrictions associated with estrogen and bazedoxifene. However, maintaining a balanced and healthy diet is always recommended for overall well-being. If you have any concerns or specific dietary considerations, discuss them with your healthcare provider.

What should I do if I forget a dose?

If you forget to take a dose of estrogen and bazedoxifene, take it as soon as you remember. However, if it is almost time for your next scheduled dose, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to make up for a missed one. If you have any questions or concerns about missed doses, consult your healthcare provider or pharmacist for guidance.

What side effects can this medication cause?

Estrogen and bazedoxifene, like any medication, can cause side effects, although not everyone experiences them. Some common side effects of estrogen and bazedoxifene may include:

• Hot flashes
• Vaginal bleeding or spotting
• Muscle spasms
• Headache
• Nausea
• Leg cramps
• Joint pain
• Sinus inflammation (sinusitis)
• Urinary tract infection (UTI)
• Stomach discomfort or abdominal pain

These side effects are generally mild to moderate and may go away on their own as your body adjusts to the medication. However, if any side effects persist or become bothersome, it’s important to inform your healthcare provider.

In addition to these common side effects, estrogen and bazedoxifene may also increase the risk of more serious side effects, including:

• Blood clots: Estrogen-containing medications can increase the risk of blood clots, which can lead to serious complications such as stroke or heart attack.
• Stroke: Estrogen therapy, particularly in older women, may slightly increase the risk of stroke.
• Breast cancer: Estrogen therapy has been associated with a slightly increased risk of breast cancer, especially with long-term use.
• Endometrial cancer: Estrogen therapy without a progestin can increase the risk of endometrial cancer in women who still have a uterus. Bazedoxifene is added to estrogen to reduce this risk.

It’s important to be aware of these potential side effects and to promptly report any unusual symptoms or concerns to your healthcare provider. They can help you weigh the benefits of treatment against the risks and adjust your treatment plan as needed to minimize side effects.

What should I know about storage and disposal of this medication?

Storage and Disposal:

• Storage:
  • Store estrogen and bazedoxifene at room temperature away from moisture and heat.
  • Keep the medication in its original container, tightly closed, and out of reach of children and pets.
  • Avoid storing it in the bathroom or other humid places where it may be exposed to moisture.
• Disposal:
  • Dispose of any unused or expired estrogen and bazedoxifene tablets properly.
  • Do not flush them down the toilet or pour them down the drain unless instructed to do so by your healthcare provider or pharmacist.
  • Follow any specific disposal instructions provided by your local waste management or pharmacy.

In case of emergency/overdose

• In case of an overdose or emergency, such as accidentally taking too much estrogen and bazedoxifene, call your local emergency services or poison control center immediately.
• Symptoms of overdose may include nausea, vomiting, vaginal bleeding, and dizziness.
• Do not attempt to treat an overdose on your own without medical guidance.

What other information should I know?

• Inform any healthcare provider treating you that you are taking estrogen and bazedoxifene, as it may interact with other medications or affect certain medical tests.
• Attend all scheduled appointments with your healthcare provider for regular check-ups and monitoring while taking estrogen and bazedoxifene.
• Be aware that estrogen therapy, including estrogen and bazedoxifene, may increase the risk of certain health conditions such as blood clots, stroke, and breast cancer. Discuss the risks and benefits of treatment with your healthcare provider.

Always follow your healthcare provider’s instructions regarding the use, storage, and disposal of estrogen and bazedoxifene. If you have any questions or concerns about your medication, don’t hesitate to consult your healthcare provider or pharmacist for guidance.